Update on tooth color measurement by visual and spectrophotometer methods
DOI:
https://doi.org/10.59471/ijhsc2025257Keywords:
shade measurement, spectrophotometer, light, shade guide, Vita 3D Master guideAbstract
Introduction: Tooth colour assessment is a crucial aspect in aesthetic dentistry, as it influences the design of restorative and aesthetic treatments. There are various methods for assessing tooth colour, the most common being the visual method and the use of spectrophotometers. Each has advantages and disadvantages that can affect the accuracy and reproducibility of the results.
Development: The visual method consists of comparing tooth colour with standardised shade guides. This approach is accessible and easy to implement, but its subjectivity can lead to variations in colour perception between different operators. Factors such as lighting, visual fatigue and environmental conditions can influence the assessment, compromising the consistency of the results. On the other hand, the spectrophotometer offers an objective measurement of tooth colour by quantifying the light reflected by the teeth at different wavelengths. This method provides accurate and repeatable data, eliminating the subjectivity of the visual method. However, its cost and the need for technical training can be limitations in its widespread use.
Conclusions: Both methods have a significant role in tooth color assessment. While the visual method is more accessible and practical in clinical settings, the spectrophotometer offers superior accuracy and objectivity. The choice between the two will depend on the specific treatment needs and available resources. For optimal results, it is suggested to consider a combined approach that takes advantage of the strengths of each method.
References
Mooney JB, Barrancos PJ. Operatoria Dental. Ed. Médica Panamericana, 2006;
Pilco OPH, Colcha AIB, Aguilar DAP, Rivero AGG de. Long-term benefits for children of including dental health in education. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2023 [cited 2024 Oct 28];2:771–771. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/516
Özat PB, Tuncel İ, Eroğlu E. Repeatability and reliability of human eye in visual shade selection. Journal of Oral Rehabilitation [Internet] 2013 [cited 2024 Oct 27];40(12):958–964. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/joor.12103
Alnusayri MO, Sghaireen MG, Mathew M, et al. Shade Selection in Esthetic Dentistry: A Review. Cureus [Internet] 2022 [cited 2024 Oct 27];14. Disponible en: https://www.cureus.com/articles/90547-shade-selection-in-esthetic-dentistry-a-review#!/
Valor Priego M. Estudio clínico sobre la influencia de la luz ambiental en la toma del color dental [Internet]. 2014 [cited 2024 Oct 27];Disponible en: https://dialnet.unirioja.es/servlet/tesis?codigo=97693
Macchi RL. Materiales Dentales. Ed. Médica Panamericana, 2004;
Goodier CS. Factors affecting oral health in children and adolescents in Ecuador. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2024 [cited 2024 Oct 28];3:.889-.889. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/889
Ramón JAM, Silva PAM, Sánchez JEF. Ethical and clinical aspects of tooth whitening in adolescents. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2024 [cited 2024 Oct 28];3:.774-.774. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/774
Horta-Martínez LE. 3D printing in the medical field. Seminars in Medical Writing and Education [Internet] 2022 [cited 2024 Oct 28];1:8–8. Disponible en: https://mw.ageditor.ar/index.php/mw/article/view/9
Mohammed S, Alla RK. Color and Shade Matching in Dentistry. Trends in Biomaterials and Artificial Organs [Internet] 2011;25:172–175. Disponible en: https://www.researchgate.net/profile/Rama-Krishna-Alla-2/publication/233832453_Color_and_Shade_Matching_in_Dentistry/links/0fcfd50dd1fb9849be000000/Color-and-Shade-Matching-in-Dentistry.pdf
Hoyos A. Color e ilusión. CES Odontología [Internet] 2001 [cited 2024 Oct 27];14(2):53–62. Disponible en: https://revistas.ces.edu.co/index.php/odontologia/article/view/705
Ragain JC. A Review of Color Science in Dentistry: Colorimetry and Color Space. JDODT [Internet] 2016 [cited 2024 Oct 28];4(1):01–05. Disponible en: http://symbiosisonlinepublishing.com/dentistry-oraldisorders-therapy/dentistry-oraldisorders-therapy48.php
Ragain J. A Review of Color Science in Dentistry: The Process of Color Vision. JDODT [Internet] 2015 [cited 2024 Oct 27];3(1):01–04. Disponible en: http://www.symbiosisonlinepublishing.com/dentistry-oraldisorders-therapy/dentistry-oraldisorders-therapy34.php
Johnston WM, Kao EC. Assessment of Appearance Match by Visual Observation and Clinical Colorimetry. J Dent Res [Internet] 1989 [cited 2024 Oct 27];68(5):819–822. Disponible en: https://doi.org/10.1177/00220345890680051301
Miyajiwala JS, Kheur MG, Patankar AH, Lakha TA. Comparison of photographic and conventional methods for tooth shade selection: A clinical evaluation. The Journal of Indian Prosthodontic Society [Internet] 2017 [cited 2024 Oct 28];17(3):273. Disponible en: https://journals.lww.com/jips/fulltext/2017/17030/comparison_of_photographic_and_conventional.10.aspx
Yılmaz B. Factors Affecting The Visual Tooth Shade Selection: A Review. Dent & Med J - R [Internet] 2020 [cited 2024 Oct 28];2(3):76–83. Disponible en: https://dergipark.org.tr/en/pub/dmj/issue/57587/780456
Jouhar R, Ahmed MA, Khurshid Z. An Overview of Shade Selection in Clinical Dentistry. Applied Sciences [Internet] 2022 [cited 2024 Oct 28];12(14):6841. Disponible en: https://www.mdpi.com/2076-3417/12/14/6841
Kim-Pusateri S, Brewer JD, Davis EL, Wee AG. Reliability and accuracy of four dental shade-matching devices. Journal of Prosthetic Dentistry [Internet] 2009 [cited 2024 Oct 28];101(3):193–199. Disponible en: https://www.thejpd.org/article/S0022-3913(09)60028-7/abstract
Vita 3D-Master Instrucciones | PDF | Color | Ligero [Internet]. Scribd. [cited 2024 Oct 27];Disponible en: https://es.scribd.com/document/358306927/Vita-3D-Master-Instrucciones
Alshiddi I, Richards L. A comparison of conventional visual and spectrophotometric shade taking by trained and untrained dental students. Australian Dental Journal [Internet] 2015 [cited 2024 Oct 28];60(2):176–181. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/adj.12311
Tabatabaian F, Beyabanaki E, Alirezaei P, Epakchi S. Visual and digital tooth shade selection methods, related effective factors and conditions, and their accuracy and precision: A literature review. Journal of Esthetic and Restorative Dentistry [Internet] 2021 [cited 2024 Oct 28];33(8):1084–1104. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/jerd.12816
Hardan L, Bourgi R, Cuevas-Suárez CE, et al. Novel Trends in Dental Color Match Using Different Shade Selection Methods: A Systematic Review and Meta-Analysis. Materials [Internet] 2022 [cited 2024 Oct 28];15(2):468. Disponible en: https://www.mdpi.com/1996-1944/15/2/468
Serban C, Nteroli G, Craciunescu EL, et al. Methods of dental shade determination [Internet]. In: SPIE BIOS Proceedings. San Francisco, CA: 2022 [cited 2024 Oct 28]; Disponible en: https://doi.org/10.1117/12.2606721
Ragain JC. A Review of Color Science in Dentistry: Shade Matching in the Contemporary Dental Practice. Journal of Dentistry, Oral Disorders & Therapy [Internet] 2016 [cited 2024 Oct 27];4(2). Disponible en: https://symbiosisonlinepublishing.com/dentistry-oraldisorders-therapy/
Liberato WF, Barreto IC, Costa PP, Almeida CC de, Pimentel W, Tiossi R. A comparison between visual, intraoral scanner, and spectrophotometer shade matching: A clinical study. Journal of Prosthetic Dentistry [Internet] 2019 [cited 2024 Oct 28];121(2):271–275. Disponible en: https://www.thejpd.org/article/S0022-3913(18)30366-4/abstract
Igiel C, Weyhrauch M, Wentaschek S, Scheller H, Lehmann KM. Dental color matching: A comparison between visual and instrumental methods. Dental Materials Journal 2016;35(1):63–69.
Sîmpălean D, Petrişor MD, Măruşteri MŞ, et al. A Software Application to Detect Dental Color. Applied Medical Informatics [Internet] 2015 [cited 2024 Oct 28];37(3):31–38. Disponible en: https://ami.info.umfcluj.ro/index.php/AMI/article/view/548
Sirintawat N, Leelaratrungruang T, Poovarodom P, Kiattavorncharoen S, Amornsettachai P. The Accuracy and Reliability of Tooth Shade Selection Using Different Instrumental Techniques: An In Vitro Study. Sensors [Internet] 2021 [cited 2024 Oct 28];21(22):7490. Disponible en: https://www.mdpi.com/1424-8220/21/22/7490
Shah P, Louca C, Patel R, Fine P, Blizard R, Leung A. Investigating working practices of dentists on shade taking: Evidence based good practice versus observed practice. Journal of Dentistry [Internet] 2020 [cited 2024 Oct 28];97:103341. Disponible en: https://www.sciencedirect.com/science/article/pii/S030057122030083X
Yuan JC-C, Brewer JD, Monaco EA, Davis EL. Defining a natural tooth color space based on a 3-dimensional shade system. J Prosthet Dent 2007;98(2):110–119.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Andrea Gabriela Mezzalira Betancourt, Julieta Andrea Saldaña, José Alberto Grandinetti (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.